| NPI | 1194196386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: SC 20555) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 108172) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2022-11-02 |